Application for Registration by a Casual Trader under Delhi Value Added Tax Act, 2004

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....l place of business is situated (if applicable) 8. Description of top 3 items you propose to deal in (In order of volume of sales for the tax period. 1-highest volume to 3-lowest volume) 1 2 3 13. Verification I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Form DVAT 04A PART - B Particulars of the authorised signatory 1. Full Name of Applicant Dealer (For individuals, provide in order of first name, middle name, surname) 2. Name of Authorised Signatory (Provide in order of first name, middle name, surname) 11. Declaration I/We ______________________....

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.... member of such family; in the case of a company or local authority, by the principal officer thereof; in the case of a firm, by any partner thereof, not being a minor; in the case of any other association, by any member of the association or persons; in the case of a trust, by the trustee or any trustee; and in the case of any other person, by some person competent to act on his behalf. Every sheet filled in the Part has to be signed by the same person (authorised signatory) who has signed the registration application. 1.Full Name of Applicant Dealer2.Constitution ofProprietorshipPrivate Ltd. CompanyPublic SectorBusinessUndertaking(Tickone asPartnershipGovernment CompanyGovernmentapplicable)CorporationHUFPublic Ltd. CompanyGovt Dept....

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....mberFax Number10. Permanent AddressBuilding Name/ Number(If different from in Col. 9Area/ Roadaddress)Locality/ MarketDistt.StatePin CodeTelephone NumberFax Number Signature of Authorised Signatory_______________________________________Full Name (first name, middle, surname)_______________________________________Designation/Status_______________________________________ DayMonthYear Document 2 Department of Trade and Taxes Government of NCT of Delhi Form DVAT 04A (See Rule 5A of the Delhi Value Added Tax Rules, 2005) PART - A Application for Registration by a Casual Trader under Delhi Value Added Tax Act, 2004 1. Full Name of Applicant Dealer 2. Constitution Proprietorship Public Sector Undertaking Private Ltd. of Business (Tick....

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....ble at 12.5% (iv) Goods taxable at 20% Total 12. Name of Manager First Name Middle Name Surname 13. Verification I/Wehereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory Full Name (first name, middle, surname) Designation/Status Place Date Month Year Day Form DVAT 04A PART - B Particulars of the authorised signatory 1. Full Name of Applicant Dealer (For individuals, provide in order of first name, middle name, surname) 2. Name of Authorised Signatory (Provide in order of first name, middle name, surname) 4. Gender (tick one) 3. Date of birth Male Female / / 5. Fat....